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Foreign body aspiration: an urgent airway condition

Year 2014, Volume: 24 Issue: 5, 283 - 286, 15.10.2014

Abstract

Objectives: This study aims to investigate demographic features, type and localization of foreign bodies, mean hospitalization duration, and peri- and postoperative complication ratios of patients with foreign body aspiration. Patients and Methods: Seventy patients 23 males, 47 females; mean age 32±14.5 months; range 3 months to 10 years who were diagnosed with foreign body aspiration in our clinic between January 2007 and August 2010, and performed rigid bronchoscopy under general anesthesia were included in this study. Results: Main findings were cough, wheezing, and witnessed aspiration. No foreign body was detected in 14 patients 20% . Foreign bodies in 56 patients 80% were successfully removed. Foreign bodies were located in the left bronchial tree in 23 patients 41% , right bronchial tree in 18 patients 32% , trachea in four patients 7% , bilateral bronchial tree in three patients 5% , carina in two patients 3% , subglottic region in two patients 3% , pyriform sinus in two patients 2% , laryngeal ventricle in one patient 1.7% , and right vocal cord in one patient 1.7% . Foreign bodies were hard-shelled nuts in 23 patients 41% , beans in 14 patients 25% , plastic materials in 11 patients 19% , and other bodies in eight patients 14% . Conclusion: Foreign body aspiration is a risky condition particularly for children under the age of four. Bronchoscopy is still the most commonly used and reliable diagnosis and treatment method. Foreign body aspiration should be kept in mind in children with persistent cough, wheezing, and unilateral pulmonary findings in radiologic imaging.

References

  • Skoulakis CE, Doxas PG, Papadakis CE, Proimos E, Christodoulou P, Bizakis JG, et al. Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases. Int J Pediatr Otorhinolaryngol 2000;53:143-8.
  • Reilly JS, Cook SP, Stool D, Rider G. Prevention and management of aerodigestive foreign body injuries in childhood. Pediatr. Clin. North Am 1996;43:1403-11.
  • Ciftci AO, Bingöl-Koloğlu M, Senocak ME, Tanyel FC, Büyükpamukçu N. Bronchoscopy for evaluation of foreign body aspiration in children J Pediatr Surg. 2003;38:1170-6.
  • Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesth Analg 2010;111:1016-25.
  • Blazer S, Naveh Y, Friedman A, Foreign body in the airway. A review of 200 cases, Am J Dis Child 1980;134:68-71.
  • Mohr R, Endoscopy and foreign body removal. In: Paparella MM, editor. Otolaryngology. Vol. 2, 3rd ed. Philadelphia: Saunders; 1991. p. 2398-427.
  • Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children. Pediatr Int 2012;54:532-5.
  • Hitter A, Hullo E, Durand C, Righini CA. Diagnostic value of various investigations in children with suspected foreign body aspiration: review. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:248-52.
  • Bhat KV, Hegde JS, Nagalotimath US, Patil GC. Evaluation of computed tomography virtual bronchoscopy in paediatric tracheobronchial foreign body aspiration. J Laryngol Otol 2010;124:875-9.
  • Righini CA, Morel N, Karkas A, Reyt E, Ferretti K, Pin I, et al. What is the diagnostic value of flexible bronchoscopy in the initial investigation of children with suspected foreign body aspiration? Int J Pediatr Otorhinolaryngol 2007;71:1383-90.
  • Mnejja M, Chakroun A, Bougacha L, Smaoui L, Ben Salah M, Chakroun A, et al. Bronchoscopy for foreign body inhalation in the pediatric population: lessons learned from 223 cases. Arch Pediatr 2012;19:670-4.
  • Yeh LC, Li HY, Huang TS. Foreign bodies in tracheobronchial tree in children: a review of cases over a twenty-year period. Changgeng Yi Xue Za Zhi 1998;21:44-9.
  • Mahafza T, Khader Y. Aspirated tracheobronchial foreign bodies: a Jordanian experience. Ear Nose Throat J. 2007;86:107-10.
  • Zhijun C, Fugao Z, Niankai Z, Jingjing C. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Pediatr Surg. 2008;43:718-21.
  • McGuirt WF, Holmes KD, Feehs R, Browne JD. Tracheobronchial foreign bodies, Laryngoscope 1998;98:615-8.

Yabancı cisim aspirasyonu: Acil bir havayolu durumu

Year 2014, Volume: 24 Issue: 5, 283 - 286, 15.10.2014

Abstract

Amaç: Bu çalışmada yabancı cisim aspirasyonu olan hastaların demografik özellikleri, yabancı cisimlerinin cinsi ve konumu, ortalama hastanede kalış süresi ve ameliyat sırası ve sonrası komplikasyon oranları araştırıldı.Hastalar ve Yöntemler: Ocak 2007 - Ağustos 2010 tarihleri arasında kliniğimizde yabancı cisim aspirasyonu tanısı konulan ve genel anestezi altında rijit bronkoskopi yapılan 70 hasta 23 erkek, 47 kız; ort. yaş 32±14.5 ay; dağılım 3 ay-10 yıl çalışmaya dahil edildi.Bulgular: Ana bulgular öksürük, hırıltı ve tanıklı aspirasyon idi. On dört hastada %20 yabancı cisme rastlanmadı. Elli altı hastanın %80 tamamında yabancı cisim başarı ile çıkartıldı. Yabancı cisimler 23 hastada %41 sol ana bronşta, 18 hastada %32 sağ ana bronşta, dört hastada %7 trakeada, üç hastada %5 iki taraflı ana bronşta, iki hastada %3 karinada, iki hastada %3 subglottik bölgede, iki hastada %2 piriform sinüste, bir hastada %1.7 larenks ventrikülünde ve bir hastada %1.7 sağ vokal kordda idi. Hastaların 23’ünde %41 yabancı cisim sert kabuklu kuruyemişler, 14’ünde %25 baklagiller, 11’inde %19 plastik malzemeler ve sekizinde %14 diğer cisimlerdi.Sonuç: Yabancı cisim aspirasyonu özellikle dört yaş altı çocuklar için riskli bir durumdur. Bronkoskopi hala en yaygın kullanılan, güvenilir bir tanı ve tedavi yöntemidir. Geçmeyen öksürüğü, hırıltısı ve radyolojik görüntülemede tek taraflı akciğer bulguları olan çocuklarda yabancı cisim aspirasyonu akla gelmelidir

References

  • Skoulakis CE, Doxas PG, Papadakis CE, Proimos E, Christodoulou P, Bizakis JG, et al. Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases. Int J Pediatr Otorhinolaryngol 2000;53:143-8.
  • Reilly JS, Cook SP, Stool D, Rider G. Prevention and management of aerodigestive foreign body injuries in childhood. Pediatr. Clin. North Am 1996;43:1403-11.
  • Ciftci AO, Bingöl-Koloğlu M, Senocak ME, Tanyel FC, Büyükpamukçu N. Bronchoscopy for evaluation of foreign body aspiration in children J Pediatr Surg. 2003;38:1170-6.
  • Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesth Analg 2010;111:1016-25.
  • Blazer S, Naveh Y, Friedman A, Foreign body in the airway. A review of 200 cases, Am J Dis Child 1980;134:68-71.
  • Mohr R, Endoscopy and foreign body removal. In: Paparella MM, editor. Otolaryngology. Vol. 2, 3rd ed. Philadelphia: Saunders; 1991. p. 2398-427.
  • Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children. Pediatr Int 2012;54:532-5.
  • Hitter A, Hullo E, Durand C, Righini CA. Diagnostic value of various investigations in children with suspected foreign body aspiration: review. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:248-52.
  • Bhat KV, Hegde JS, Nagalotimath US, Patil GC. Evaluation of computed tomography virtual bronchoscopy in paediatric tracheobronchial foreign body aspiration. J Laryngol Otol 2010;124:875-9.
  • Righini CA, Morel N, Karkas A, Reyt E, Ferretti K, Pin I, et al. What is the diagnostic value of flexible bronchoscopy in the initial investigation of children with suspected foreign body aspiration? Int J Pediatr Otorhinolaryngol 2007;71:1383-90.
  • Mnejja M, Chakroun A, Bougacha L, Smaoui L, Ben Salah M, Chakroun A, et al. Bronchoscopy for foreign body inhalation in the pediatric population: lessons learned from 223 cases. Arch Pediatr 2012;19:670-4.
  • Yeh LC, Li HY, Huang TS. Foreign bodies in tracheobronchial tree in children: a review of cases over a twenty-year period. Changgeng Yi Xue Za Zhi 1998;21:44-9.
  • Mahafza T, Khader Y. Aspirated tracheobronchial foreign bodies: a Jordanian experience. Ear Nose Throat J. 2007;86:107-10.
  • Zhijun C, Fugao Z, Niankai Z, Jingjing C. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Pediatr Surg. 2008;43:718-21.
  • McGuirt WF, Holmes KD, Feehs R, Browne JD. Tracheobronchial foreign bodies, Laryngoscope 1998;98:615-8.
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Burak Karabulut This is me

Kadir Serkan Orhan This is me

Murat Ulusan This is me

Bora Başaran This is me

Kemal Değer This is me

Publication Date October 15, 2014
Published in Issue Year 2014 Volume: 24 Issue: 5

Cite

APA Karabulut, B., Orhan, K. S., Ulusan, M., Başaran, B., et al. (2014). Yabancı cisim aspirasyonu: Acil bir havayolu durumu. The Turkish Journal of Ear Nose and Throat, 24(5), 283-286.
AMA Karabulut B, Orhan KS, Ulusan M, Başaran B, Değer K. Yabancı cisim aspirasyonu: Acil bir havayolu durumu. Tr-ENT. October 2014;24(5):283-286.
Chicago Karabulut, Burak, Kadir Serkan Orhan, Murat Ulusan, Bora Başaran, and Kemal Değer. “Yabancı Cisim Aspirasyonu: Acil Bir Havayolu Durumu”. The Turkish Journal of Ear Nose and Throat 24, no. 5 (October 2014): 283-86.
EndNote Karabulut B, Orhan KS, Ulusan M, Başaran B, Değer K (October 1, 2014) Yabancı cisim aspirasyonu: Acil bir havayolu durumu. The Turkish Journal of Ear Nose and Throat 24 5 283–286.
IEEE B. Karabulut, K. S. Orhan, M. Ulusan, B. Başaran, and K. Değer, “Yabancı cisim aspirasyonu: Acil bir havayolu durumu”, Tr-ENT, vol. 24, no. 5, pp. 283–286, 2014.
ISNAD Karabulut, Burak et al. “Yabancı Cisim Aspirasyonu: Acil Bir Havayolu Durumu”. The Turkish Journal of Ear Nose and Throat 24/5 (October 2014), 283-286.
JAMA Karabulut B, Orhan KS, Ulusan M, Başaran B, Değer K. Yabancı cisim aspirasyonu: Acil bir havayolu durumu. Tr-ENT. 2014;24:283–286.
MLA Karabulut, Burak et al. “Yabancı Cisim Aspirasyonu: Acil Bir Havayolu Durumu”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 5, 2014, pp. 283-6.
Vancouver Karabulut B, Orhan KS, Ulusan M, Başaran B, Değer K. Yabancı cisim aspirasyonu: Acil bir havayolu durumu. Tr-ENT. 2014;24(5):283-6.